A new report from the National Latina Institute for Reproductive Health and the Center for Reproductive Rights calls on state lawmakers to increase access to contraceptives, cancer screenings, and abortion care and strengthen the social safety net, among other things.

There is a human cost of delay, less dramatic than deportations but no less destructive to immigrant communities: lack of access to affordable health care, both for unauthorized immigrants and for some who are in this country legally.

Conversations about reproductive rights in Texas’ Rio Grande Valley have been traveling beyond the region—to Austin, Washington, and Geneva, where members of the UN Human Rights Committee recently expressed concern over U.S. policies excluding people from health insurance coverage because of their immigration status.

Rio Grande Valley residents who seek an abortion now have limited options: drive hundreds of miles; continue their pregnancy; schedule a later, more expensive procedure once they find the means to pay; or attempt to self-induce an abortion using occasionally dangerous and often ineffective means.